Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.32 / $20.32 / $20.32	Facility		$20.32	$20.32	$20.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.45 / $20.32 / $21.34	Professional		$12.45	$20.32	$21.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.41 / $28.41 / $28.41	Professional		$28.41	$28.41	$28.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.54 / $75.95 / $144.38	Facility		$36.54	$75.95	$144.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.93 / $26.20 / $32.75	Professional		$23.93	$26.20	$32.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.19 / $34.01 / $41.56	Facility		$25.19	$34.01	$41.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.45 / $32.75 / $58.40	Professional		$26.45	$32.75	$58.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.09 / $15.09 / $36.56	Professional		$15.09	$15.09	$36.56
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $20.32 / $22.86 / $26.28	Facility		$20.32	$22.86	$26.28
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $22.86 / $30.86	Professional		$19.00	$22.86	$30.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.41 / $75.00 / $100.00	Professional		$21.41	$75.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $14.26 / $22.64	Professional		$9.77	$14.26	$22.64